Jurnal Kesehatan Hesti Wira Sakti

THE EFFECT OF GIVING SANDALA AROMATHERAPY ON THE INCIDENT OF INSOMNIA IN MENOPAUSING WOMEN IN PMB ENY ISLAMIATI, BULULAWANG DISTRICT, MALANG REGENCY

2023-10-16T10:55:05+07:00

Introduction: Menopause is a period of natural process towards aging which is characterized by the cessation of the menstrual cycle. Menopause occurs at the age of 45-55 years. The diagnosis of menopause can be established when menstruation stops for at least one year. Insomnia is a difficult state of initiating sleep, maintaining sleep, and sleep that is not refreshing. According to Gunadarma, the incidence of insomnia increases faster in mothers over the age of 40 years. About 40% of women aged 40-54 years complain of insomnia. Sandalwood aromatherapy is one of the complementary therapies that can also be used in overcoming the incidence of insomnia. The study was conducted at PMB Eny Islamiati Bululawang to examine the effects of sandalwood aromatherapy on incidence of insomnia in menopausal mother. Method: Pra experimental design. The study population was 20 menopausal mothers with a sample of 16 people. This technique uses purposive sampling. The instruments used by the KRSPBJ-IRS questionnaire and observation sheet, using the Wilxocon statistical test. Result: According to the data, there was significant incidence of insomnia in 43.6 percent of people prior to the intervention and mild incidence of insomnia in 75,0 percent of people after it, with a p value of 0.02 to α 0.05. Conclusion: Sandalwood aromatherapy may have an impact on the incidence of insomnia in the menopausal mother.It is hoped that menopausal mother will be able to improve services both in health promotion such as socialization, counseling to menopausal mothers to provide health education about the importance of rest / sleep for menopausal mothers.

Keywords: Aromatherapy Administration, Incidence of insomnia, Menopausal Mother

THE EFFECT OF YOGA EXERCISES ON REDUCING DYSMENORRHEA INTENSITY IN PUJON ISLAMIC HIGH SCHOOL STUDENTS, MALANG DISTRICT

2023-10-06T11:08:28+07:00

Introduction: Many women experience problems during menstruation and one of them is menstrual pain. Menstrual pain is a common condition experienced by young women who have menstruated. Dysmenorrhea can cause discomfort in daily physical activity. This study aims to analyze the effect of yoga exercise on decreased dysmenorrhea intensity before and after being given and not being given yoga exercise to Pujon Islamic High School students, Malang Regency. Methode: The research method uses a quasi-experimental approach with a pretest-posttest control group design. The research population was Pujon Islamic High School students in Malang Regency with a total sample of 32 people. Sampling used quota sampling with the Universal Pain Assessment Tool pain scale research instrument. The analysis technique uses the Wilcoxon test. Result: The results showed that almost half of the experimental group before doing yoga exercise experienced moderate pain 43.7% and after being given yoga exercise most of the pain felt mild pain 56.3% and almost half had no pain 43.7%. The control group found that almost half experienced moderate pain 43.7% and after that the pain felt was mostly mild pain 75%. The results of the Wilcoxon test obtained a p-value of 0.004 <0.05, meaning that there was an effect of yoga exercise on decreased dysmenorrhea intensity in Pujon Islamic High School students, Malang Regency. Conclusion: Yoga exercise are effective in minimizing menstrual pain in adolescents.

Keywords: dysmenorrhea, yoga exercise, young women

THE EFECT OF HERBAL POWDER THERAPY ON REDUCING TEMPERATUR IN FEBRILE INFANTS AFTER IMMUNIZATION

2024-02-23T09:12:31+07:00

Introduction: An efective form of health intervention in reducing infant and toddler mortality rates is immunization. ane of the routine immunizations give at he age 11 months is the DPR-HB-Hib Imunization which is the basic imunization which is the Immunization for babies. Adverse evenths after DPT imunization, namely local reactions of redness, swelling and pain at the injection site, occurred in half of DPT recipients, seizures, fever. Fever is treated with antipyretic drugs. Apart from antipyretics, lowering the temperature can be done by Using Tradisonal medicine Methods: The research design used pre-experimental design, pre-test and post test design. using one grup, namely assessing pre-test and post-test population used all infants following immunization Sampel of this study, infants who have met the criteria, were selected based on purposive sampling method. Results: The results of the Characteristic Test of the majority of respondents aged 4 months were 27 Pople (46,5%), while the amallest respondents aged 2 months were 12 pople (20,7%), age 3 mouthe were 19 pople (32,8%), From the resulth of the paired t-statistical test, it was concluded that 58 babies in the pretest group with a mean of 37,76 and in the postest group after Giving herbal powder there was a change in the form of a decrease in body temperature, mean 37,17 with a p value of 0,000 (p<0,05). Conclusion: Herbal powder therapy on reducing the temperature of infant fever after immunization. Therefore, reducing body temperature can be done physically (nonpharmacology), namely the use of traditional medicine.

Keywords: Post-immunization febrile in infants, Herbal powder, Temperature reduction

THE RELATIONSHIP BETWEEN LONG TIME OF FASTING AND THE INCIDENT OF NAUSEA, VOMITING IN POST-OPERATIVE PATIENTS AT PIRU HOSPITAL, WEST SERAM DISTRICT

2023-09-11T09:17:15+07:00

Introduction: Post Operative Nausea and Vomiting (PONV) is an unpleasant experience during the postoperative period at 24-48 hours, which is distressing for the patient and can prolong the length of stay, as well as increase the risk of postoperative complications. Fasting before surgery is necessary to minimize the risk of aspiration during anesthesia procedures. The aim of this study was to analyze the relationship between long periods of fasting and the incidence of nausea and vomiting in post-operative patients. Method: This type of research is correlation analysis with a cross-sectional design. The population of patients in the anesthesia unit who underwent caesarean section with SAB spinal anesthesia. The sample consisted of 64 consecutive sampling methods for the period April 2023. The independent variable was the duration of fasting and the dependent variable was the incidence of nausea and Vomiting was measured using an observation sheet, ratio data scale and data analysis using the one-way ANOVA correlation test with paired data. Results: The results of the hypothesis test of the relationship between the length of fasting and the incidence of nausea and vomiting in caesarean section patients with spinal anesthesia showed a significant value of 0.23, which means there is no relationship between the duration of fasting and the incidence. nausea and vomiting in patients due to post-operative nausea and vomiting with spinal anesthesia may be caused by other factors, namely: hypotension resulting in hypoperfusion, aerophagy, drug administration, surgical techniques (many manipulations of intestinal organs, and other factors. Conclusion: Suggestions for future researchers analyze the relationship between the incidence of nausea and vomiting on other factors or control confounding variables.

Keywords: Length of Fasting, Post Operative Nausea and Vomiting

THE RELATIONSHIP OF THE AMOUNT OF BLEEDING AND THE EVENT OF HYPOTENSION IN CAESARIA SECTIO PATIENTS WITH SPINAL ANESTHESIA AT RSI UNISMA MALANG

2023-10-05T10:11:57+07:00

Background: Cesarean section can lead to bleeding, which can reduce intravascular volume and result in a decrease in cardiac output. If this condition is not promptly addressed, it can trigger hypotension. Maternal mortality rates increase by 40-80% due to bleeding during cesarean section deliveries. The aim of this study is to determine the relationship between the amount of bleeding and the occurrence of hypotension in patients undergoing spinal anesthesia for cesarean section at RSI Unisma Malang. Method: An analytical observational study using a cross-sectional method. The total sample size was 26 patients, and data were obtained through direct observation with documentation following the informed consent procedure. Sample selection was done using purposive sampling technique. Univariate statistical analysis was followed by Spearman’s rho statistical test. Results: There is a very strong correlation between the amount of bleeding and the occurrence of hypotension in patients undergoing cesarean section with spinal anesthesia at RSI Unisma Malang (p= 0.000 < α 0.05; r = 0.902). Conclusion: There is a very strong positive correlation between the amount of bleeding and the occurrence of hypotension, meaning that higher amounts of bleeding can lead to a decrease in blood pressure (hypotension).

Keywords: Hypotension, Amount of bleeding, Sectio Caesaria, Spinal anesthesia

THE INFLUENCE OF HEALTH EDUCATION USING VIDEO MEDIA ABOUT SPINAL ANESTHESIA ON THE ANXIETY LEVEL OF PATIENTS WHO WILL TAKE SPINAL ANESTHESIA SURGERY

2024-02-23T09:25:45+07:00

Introduction: Surgery involves invasive procedures using anesthesia, this can cause anxiety and fear in patients and their families. Anesthesia aims to relieve pain, fear and discomfort so that patients feel more comfortable during medical procedures. Pre-operative preparation is very important to ensure the patient's physical and psychological condition is ready to undergo anesthesia and surgical procedures. More than 50% of pre-operative patients experience anxiety worldwide, with 5-25% of them over the age of 20 years. In Indonesia, around 11.6% of the population experiences anxiety. Anxiety can cause delays in surgery, lengthen recovery time, and increase the risk of complications. Health education through videos about spinal anesthesia is considered an effective method because it can be done anytime and anywhere, and can increase patient knowledge and skills. The aim of this study was to analyze the effect of patient education using spinal anesthesia training videos on reducing anxiety levels. Methods: Prae experimental research design, one group pre-post test design, in the population of patients admitted via outpatient who will undergo surgery with spinal anesthesia totaling 30 respondents, the research was carried out in the waiting room of the operating room within a two week research period. Independent variable: provision of health education using video media about spinal anesthesia. Dependent variable: anxiety level. Data were collected using the observation method, carried out pre and post providing health education using video media about spinal anesthesia. The instrument uses The Amsterdam Preoperative Anxiety and Information Scale (APAIS) and is recorded on an observation sheet. Bivariate data analysis, namely by using the Independent T-Test of data, was carried out to determine the difference in the average value of anxiety levels between pre and post treatment, and the data obtained was processed using the SPSS 22 computer application. Results: Hypothesis testing, the significance value is 0.000, which is 0.000. which is less than 0.05. Conclusion: therefore the decision made for this test is that providing health education using video media about spinal anesthesia has an effect on reducing the anxiety level of patients who will undergo surgery with spinal anesthesia and the effect is very strong.

Keywords: Video Media, Health Education, Spinal Anesthesia, Anxiety Level.

THE RELATIONSHIP BETWEEN THE LEVEL OF PAIN AND THE ABILITY FOR ACTIVITIES IN PATIENTS POST CAESAREA SECTIO OPERATION WITH SPINAL ANESTHESIA

2024-02-23T09:18:15+07:00

Background: Post-operative caesarean section pain will cause limited mobilization due to the intensity of the pain. Significant pain can make it difficult for a person to move freely and carry out activities that require the use of the abdominal and pelvic muscles. This study aims to analyze the relationship between pain levels and activity ability in post-caesarean section surgery patients with spinal anesthesia. Method: This type of research is correlation analysis with a cross-sectional design on the patient population in the recovery room unit 24 hours after surgery, sampling quota with 30 respondents. The independent variable is the level of pain and the dependent variable is the ability to carry out activities. Pain levels were measured using a numeric rating scale pain scale observation sheet, ratio data scale. The ability to carry out activities is measured using an observation sheet, namely the ability to sit, stand and walk. Data analysis used the Pearson correlation test, using a computer aided by the SPSS 22 application. Results: There is a relationship between the level of pain and the activity ability of post-SC surgery patients with spinal anesthesia. The relationship is negative, namely the higher the level of pain, the lower the activity capacity. The level of relationship is very strong, namely -0.886. Conclusion: To be able to carry out walking activities, there would be at least moderate pain. The patient's advice is to reduce the level of pain to moderate and light levels so that they are able to carry out walking activities.

Keywords: Pain, Activity Ability, Spindal Anesthesia, Sectio Caesarea

THE EFFECT OF A COMBINATION OF SHORT WAVE DIATHERMY AND HAMSTRING STRETCHING ON INCREASING FUNCTIONAL ABILITY IN UNILATERAL KNEE OSTEOARTHRITIS PATIENTS

2023-11-30T09:51:34+07:00

Introduction: Osteoarthritis of the knee is a degenerative joint disease that causes limited joint mobility. As a result, limited joint mobility can cause a decrease in the knee's functional ability. Hamstring stretching is a form of exercise that aims to stretch or stretch muscles that have decreased elasticity and flexibility, so it reduces scope limitations motion of the knee joint to repair the walking patterns in order to improve knee functional abilities. The purpose of this study is to determine the effect of giving a combination of short-wave diathermy and stretching toward improving functional abilities in osteoarthritis knee unilateral patients. Methods: This type of research uses quasi-experiments with one group pretest and posttest design methods. With a population of 30 people taken randomly. It uses the Womac scale measuring instrument with a combination exercise design of short-wave diathermy and hamstring stretching which is given 2 times a week for one month. Results: Wilcoxon hypothesis test obtained a median value pre 47.00 and post 44.00 with a difference of 3.00, p-value=0.000 (p <0.005). Conclusion: there is an effect of giving a combination of short-wave diathermy and hamstring stretching for 8 treatments on functional improvement in unilateral knee osteoarthritis conditions.

Keywords: knee osteoarthritis, short wave diathermy, stretching hamstring

THE EFFECT OF DRY NEEDLING ON PAIN REDUCTION IN UPPER TRAPEZIUS SPASM PATIENTS IN RW 1 GURAH VILLAGE, GURAH DISTRICT, KEDIRI REGENCY

2023-12-13T10:32:31+07:00

Background: Spasm is an informal, non-specific term often used to describe musculoskeletal pain. Pain is an uncomfortable and unpleasant feeling associated with tissue damage. Pain is also a subjective feeling that is felt. Spasm pain that often occurs is pain in the upper trapezius muscle area which is caused by work, stress and posture. Dry needling is a method that uses dry and sterile needles which is often used to help reduce pain in muscle trigger points. The aim of this study was to determine the effect of dry needling on reducing pain in patients with cases of upper trapezius spasm. Methods: The research design used was quasi experimental with a pre and post-test one group design research type with a total of 17 respondents who met the exclusion and inclusion criteria using a purposive sampling technique. Pain was measured using a visual analog scale (VAS) which was carried out before and after physiotherapy treatment in 1 group, namely; dry needling with 1 administration. Statistical tests use the Wilcoxon test. Results: When giving dry needling, the median value was pre 6 to post 2 with a P value = 0.00. Conclusion: it can be concluded that dry needling is effective in reducing upper trapezius spasm pain.

Keywords: Dry Needling, Pain, Spasm

EFFECT OF ULTRASOUND DIATHERMY AND OPEN KINETIC CHAIN EXERCISE ON FUNCTIONAL ABILITY IN PATIENTS WITH OSTEOARTHRITIS GENU

2023-12-13T10:51:16+07:00

Introduction: Osteoarthritis is one of the joint disorders that has decreased joint function, resulting in decreased functional ability in daily activities. Physiotherapy treatment to reduce complaints felt by giving ultrasound diathermy and open kinetic chain exercises. The purpose of this study was to determine the effect of ultrasound diathermy and open kinetic chain exercises in improving functional ability in patients with osteoarthritis genu. Methods: This study used pre-experimental methods in a one-group pretest-posttest design. Functional ability was measured using the knee injury and osteoarthritis outcome score (KOOS) scale before and after treatment, namely the administration of diathermic ultrasound and open kinetic chain exercises 2 times a week for 1 month, with a sample of 22 randomly selected respondents. Results: The paired sample t-test hypothesis showed a p-value = 0,000 (0,000<0,05). Conclusion: there is an effect of ultrasound diathermy and open kinetic chain exercise on improving functional ability in patients with osteoarthritis genu.

Keywords: functional ability, open kinetic chain exercise, osteoarthritis genu, ultrasound diathermy

THE RELATIONSHIP BETWEEN THE COMPLETENESS OF FILLING OUT THE DISCHARGE SUMMARY HOSPITALIZATION WITH THE QUALITY OF MEDICAL RECORDS

2024-03-06T12:25:47+07:00

Introduction: Some health care facilities regarding medical resumes are still often incomplete, one of which is at Aisyiyah Siti Fatimah Sidoarjo Hospital, where the completeness of medical record files has not yet reached 100% complete. This study aims to analyze the relationship between the completeness of the inpatient discharge summary and the quality of medical records. Methods: This type of research uses quantitative analytical correlation, with a cross sectional approach, the number of samples used is 164 in the inpatient discharge summary form, the sampling used is consecutive sampling. And using a research instrument check list sheet and data analysis using the chisquare test. Results: Research obtained on the discharge summary of hospitalization with an incomplete category of 77.4%. The quality of medical records with the category is quite good 86.0%, there is a relationship with a Pvalue of 0.000. Conclusion: From the results of the study that there is still an incomplete inpatient discharge summary, and the quality of medical records is quite good. This shows that there is a relationship between the completeness of the inpatient discharge summary and the quality of medical records, it is advisable to make a special SOP regarding the completeness of the discharge summary.

Keywords: Discharge Summary, Completeness, Quality of Medical Records

PHENOMENOLOGICAL STUDY: THE ANOMALY OF MY LIFE IN PRISON

2024-04-01T12:08:31+07:00

Introduction: Adolescents as prison will face psychological challenges such as stigma, discrimination, isolation and instability. The purpose of the study was to explore the meaning of life of adolescents as prison. Methods: This research was a Qualitative research used interpretive phenomenology approach. This research was conducted at the Malang Correctional Center. Participants in this study were seven adolescents with purposive sampling technique. In-depth interviews are used to obtain data and data analysis using IPA (interpretative Phenomenological Analysis). Results: Nine major research themes were found, namely fear of being overshadowed by past mistakes and shame as a former prisoner, feeling ostracized and getting a bad label from the community, chaotic when returning to society, feeling humiliated and failing as a former prisoner, feeling valuable and trying to be better, getting care from parents, family and society, still being able to play a role and being needed by others, hoping to become a successful person, challenged to improve themselves. Conclusion: Adolescents as ex-prisoners experience a transition period, namely psychological problems including feelings of being ostracized, getting stigmatized by society, feeling inferior and worthless. Support from the closest people and community acceptance causes former prisoners to be able to play a role in society, causing former prisoners to return to the community.

Keywords: Adolescent, ex-convict, psychological

INTERVENTION OF CUPPING THERAPY AND QUANTUM HEALING TOUCH TO REDUCE BLOOD SUGAR OF PATIENTS WITH DIABETES MELLITUS (DM)

2024-03-06T12:08:32+07:00

Introduction: In many nations, the number of diabetics (DM) is steadily increasing. Diabetes mellitus treatment begins with implementing a healthy lifestyle (medical nutrition therapy and physical activity), as well as pharmaceutical intervention using anti-hyperglycemic medications orally or by injection. Wet cupping therapy is complementary non- pharmacological therapy that is often used by people with diabetes mellitus and has been proven to reduce blood sugar level. Cupping is a method of drawing blood from the peripheral skin surface by suctioning or cupping. Small incisions are then made on the outer skin, and suction is applied again to draw out blood. This is believed to remove toxins from the body, which can decrease blood sugar levels. Methods: This research design uses pre-experimentation with a one-group pre-test - post-test research plan. The number of samples used was 15 respondents, while data collection was carried out using the Non-probability Sampling technique with the Total Sampling method. This research was held at Rumah Sehat Insani Kalasan Clinic with 1 time of intervention of quantum healing touch and wet cupping therapy. Results: There was an effect of wet cupping therapy and quantum touch therapy on reducing blood sugar levels in diabetes mellitus sufferers after intervention, a significant value of p=0.001 (p<0.05) was obtained. Conclusion: Cupping complementary therapy is one of the therapies used by diabetes mellitus (DM) sufferers to lower their blood sugar levels. Nurses in implementing nursing care can add this therapy. However, it needs to be further developed on how many times cupping therapy should be carried out so that blood sugar levels can be controlled.

Keywords: Wet cupping, diabetes mellitus, blood sugar, quantum touch therapy

PREDICTOR FACTORS OF ACUPUNCTURE THERAPY IN PATIENTS WITH EXTREMITY WEAKNESS AFTER ACUTE POST ISCHEMIC STROKE THAT AFFECT BARTHEL INDEX SCORES: LITERATURE REVIEW

2024-02-15T12:50:25+07:00

Introduction: Stroke is a major health problem that has a significant impact on quality of life and disability in carrying out daily work. Acupuncture play a role in the stroke rehabilitation through serotonin reuptake inhibitors and a series of local, segmental and central mechanisms. Several RCTs have proven that there is a significant effect of acupuncture in stroke therapy in acute and subacute ischemic stroke. However, most studies use small sample sizes and weak methodology. Method: This article is a literature review which aims to determine the predictor factors that influence the success of acupuncture therapy in patients with limb weakness after acute ischemic stroke. The search was carried out using databases from Pubmed, Cochrane and Embase which were then included in appropriate journals following the PRISMA flowchart to obtain 4 reviewed journals. Result: Factors that influence the success of acupuncture therapy in post-stroke patients include age, gender, previous medical history, comorbidities, the patient's clinical condition when initially entering treatment, the course of the disease, and the severity of the infarction. Conclusion: With minimal side effects, acupuncture therapy for acute ischemic stroke can be recommended as an adjuvant therapy for acute ischemic stroke. Research involving a larger number of participants with better methodology is needed to prove the effectiveness of acupuncture and its predictor factors for post-stroke limb weakness.

Keywords: acupunture, Barthel Index, post stroke rehabilitation

ETHICS IN HEALTH INSURANCE: FINDING FAIRNESS AND JUSTICE

2024-03-06T12:22:35+07:00

Background: Ethics is an important component of business. In the world of health insurance, ethics are needed to support justice and balance for companies and consumers. Companies are obliged to fulfil consumer rights in full, but there are still many companies that prioritize profit alone by committing fraud. This research is expected to provide in-depth insight into ethical issues and help health insurance companies run their businesses in an ethical and responsible manner. Method: The method used in this research is a systematic review using Google Scholar and PubMed databases over the last 5 years. Result: From the results of the analysis, it was found that ethical violations in health insurance still frequently occur. Fraudulent acts are often carried out by insurance companies, such as falsifying documents and rejecting insurance claims. This is certainly not in accordance with health insurance business ethics and does not uphold consumer justice. Conclusion: From the research conducted, it can be concluded that awareness regarding ethics in the health insurance business is still low. However, there are several solutions that can be implemented, such as increasing cooperation between the government, regulators, and insurance companies.

Keywords: Health Insurance, Ethics, Justice, Balance